Материал: part20

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9.8.5.1 text​

The section text SHALL contain information related to the radiation exposure and protection of the patient, as is required by​ state/national legal requirements or standards, for example:​

•​information on the indications for the procedure​

•​the name of the "Irradiation Authorizing" person who is the clinician responsible for determining that the irradiating procedure was​ appropriate for the indications.​

•​summary information on radiation exposure if ionizing is applied in the context of the current procedure (detailed specification of​ exposure is out of the scope of this textual summary).​

•​informationontheradioactivesubstanceadministeredifradioactivesubstanceisadministeredinthecontextofthecurrentprocedure.​

Note​

Compare to TID 2008 “Radiation Exposure and Protection Information”.​

9.8.5.2 entry/procedure Patient Exposure​

COND: If modality is CT, MG, NM, PT, XR, XA, or XF, the section SHOULD contain a procedure entry for the exposure of the patient​ to ionizing radiation.​

This entry SHALL have a participant, the irradiation authorizing person who is the clinician responsible for determining that the irradi-​ ating procedure was appropriate for the indications.​

Note​

This may be the same person as the performing physician identified in the header.​

9.8.5.3 entry/observation SOP Instance​

The section may include reference to one or more DICOM Dose Report SOP Instances that provides a detailed record of exposure.​

9.8.5.4 entry/observation Pregnancy​

COND: A coded observation entry SHALL be present if the patient is female and child-bearing age.​

The binding to the Coded Observation concept domains is:​

9.8.5.5 entry/observation Indication​

An indication for procedure recorded in this section should be consistent with any indications identified in the 9.2 Clinical Information​ and/or 9.8.2 Procedure Indications section. It is included here for conformance with regulatory requirements in some jurisdictions for​ the indications to be specified in the context of the radiation exposure information.​

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Example 9.8.5.6-1. Radiation Exposure and Protection section example​

<section classCode="DOCSECT" moodCode="EVN"> <templateId root="1.2.840.10008.9.8" />

<id root="1.2.840.10213.2.62.704478559484.11428372623"/> <code code="73569-6"

codeSystem="2.16.840.1.113883.6.1"

codeSystemName="LOINC"

displayName="Radiation Exposure And Protection Information"/> <title> Radiation Exposure and Protection Information</title> <text>A dosage of... </text>

<entry>

<procedure classCode="PROC" moodCode="EVN"> <code code="121290"

codeSystem="2.16.840.1.113883.6.1"

codeSystemName="DCM"

displayName="Patient exposure to ionizing radiation"/> <participant typeCode="RESP">

<participantRole>

<id root="2.16.840.1.113883.4.6" extension="980003719"/> <code code="113850"

codeSystem="2.16.840.1.113883.6.1"

codeSystemName="DCM" displayName="Irradiation Authorizing"/>

<playingEntity>

<name>

<given>Martha</given>

<family>Radiologist</family>

</name>

</playingEntity>

</participantRole>

</participant>

</procedure>

</entry>

<entry>

<observation classCode="OBS" moodCode="EVN" ID="pregnancy"> <templateId root="2.16.840.1.113883.10.20.6.2.13"/>

<id root="1.2.840.10213.2.62.7044779.114265201"/> <code code="364320009"

codeSystem="2.16.840.1.113883.6.96"

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9.8.6.1 Section/text​

TheKeyImagessectiontextSHALLcontainimagereferencesusinglinkHtmlelements,where@hrefisavalidWebAccesstoDICOM​ Persistent Object (WADO) URL. See Section 9.1.1.5. The text content of linkHtml should be either visible text of the hyperlink, or a​ descriptor or identifier of the image; it may be associated with a (limited resolution) copy of the image (see Section 9.8.6.3).​

9.8.6.2 SOP Instance Observation​

The Key Images section SHOULD include 10.8 SOP Instance Observation entries equivalent to the linkHtml image references.​

9.8.6.3 observationMedia​

The Key Images section MAY include observationMedia entries with in-line encoded copies of the referenced images, linked into the​ narrative block using the renderMultiMedia markup. See Section 9.1.1.3. These in-line encoded images may have limited resolution​ and lossy compression as appropriate for inclusion in a report.​

Example 9.8.6-1. Key Images section example​

<section classCode="DOCSECT" moodCode="EVN">> <templateId root="1.3.6.1.4.1.19376.1.4.1.2.14" />

<id root="1.2.840.10213.2.62.704478559484.11428372623" /> <code code="55113-5"

codeSystem="2.16.840.1.113883.6.1"

codeSystemName="LOINC" displayName="Key Images"/> <title>Key Images</title>

<text>Maximum extent of tumor is shown in

<linkHtml href="http://www.example.org/wado?requestType=WADO&...">image 1</linkHtml> <renderMultiMedia referencedObject="refimag1"/>

</text>

<entry>

<!-- SOP Instance reference -->

<observation classCode=DGIMG moodCode=EVN ID="SOP1-2"/> </entry>

<entry>

<!-- inline rendered image --> <observationMedia ID="refimag1">

<value representation=B64 mediaType="image/jpeg"> Bgd3fsET4g...

</value>

</observationMedia>

</entry>

</section>

9.8.7 DICOM Object Catalog​

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